Provider Demographics
NPI:1679706675
Name:FARMACIA VELEZ
Entity type:Organization
Organization Name:FARMACIA VELEZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-881-6300
Mailing Address - Street 1:HC 3 BOX 11870
Mailing Address - Street 2:BO. YEGUADA SECTOR PALMARITO
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9739
Mailing Address - Country:US
Mailing Address - Phone:787-233-6702
Mailing Address - Fax:
Practice Address - Street 1:683 KM 1.3 BO. FACTOR
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-881-6300
Practice Address - Fax:787-879-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11F27603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4026919OtherNCPDP PROVIDER IDENTIFICATION NUMBER